Graduated: 1984
NPI: 1578505798
Practice Locations (2)
MEDICAL PRACTICES OF ANTIETAM, LLC
11116 MEDICAL CAMPUS RD
HAGERSTOWN, MD 217426710
3017908000
MEDICAL PRACTICES OF ANTIETAM, LLC
49 ST PAUL DR
CHAMBERSBURG, PA 172011020
7172611620
Source: CMS National Downloadable File, September 2026.